I have recently been published
in a head to head with Sir Terence English in the Oxford Mail on whether assisted suicide should
be legalised in Britain. My contribution to the debate is reproduced below. Perhaps
not surprisingly I have said ‘no’.
Any change in the
law to allow assisted suicide or euthanasia would inevitably place pressure on
vulnerable people to end their lives for fear of being a financial, emotional
or care burden upon others.
The ‘right to die’
would so easily become the ‘duty to die’. This would especially affect people
who are disabled, elderly, sick or depressed and would be greatly accentuated
at this time of economic recession with families and health budgets under
pressure.
Elder abuse and
neglect by families, carers and institutions are already real and dangerous and
would be made worse.
Any so-called ‘safeguards’
against abuse, such as limiting it to certain categories of people, will not
work.
This is because
exactly the same arguments – autonomy and compassion – would apply to people
outside the categories decided upon and so any law allowing it for some would
immediately be challenged under equality legislation.
If for terminally
ill people, why not for those who have chronic illnesses but are ‘suffering
unbearably’?
If for adults why
not for ‘Gillick competent’ children? If for the mentally competent why not for
people with dementia who ‘would have wanted it’?
The news coming from
other jurisdictions which have gone down this route, particularly Belgium and the
Netherlands, shows a pattern of incremental extension and pushing of the
boundaries – an increase in cases year on year, a widening of categories of
people to be included and people being killed without their consent.
Belgium has recently
legalised euthanasia for children and in the Netherlands babies with spina
bifida and people with dementia are already put to death.
This is why British
parliaments have rightly rejected the legalisation of assisted suicide in
Britain three times in the last seven years and why the vast majority of UK
doctors, almost all medical groups including the British Medication Association
(BMA), Royal College of Physicians (RCP) and Royal College of General
Practitioners (RCGP), and all major disabled people’s advocacy groups are also
opposed.
Persistent requests
for euthanasia are extremely rare if people are properly cared for, so our real
priority must be to ensure that good care addressing people’s physical,
psychological, social and spiritual needs is accessible to all.
This issue is
understandably an emotive one but hard cases make bad law and even in a free
democratic society there are limits to human freedom. Our present law with its
blanket prohibition on all medical killing does not need changing.
The penalties it
holds in reserve act as a strong deterrent to exploitation and abuse whilst
giving discretion to prosecutors and judges to temper justice with mercy.
DR Peter Saunders
is a retired surgeon and campaign director of the Care Not Killing Alliance,
representing 40 organisations opposed to the legalisation of assisted suicide
and euthanasia: